Individual
JAMES G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 CAMBRIDGE ST, INTERNAL MEDICINE, CAMBRIDGE, MA 02138-4302
(617) 661-5420
(617) 661-5226
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39431
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193446
—
MA
Enumeration date
04/25/2006
Last updated
05/25/2011
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